{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T17:16:24Z","timestamp":1714065384553},"reference-count":24,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2012,6,28]],"date-time":"2012-06-28T00:00:00Z","timestamp":1340841600000},"content-version":"unspecified","delay-in-days":940,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X00007457_sec01\" sec-type=\"intro\"><jats:title><jats:bold>Introduction:<\/jats:bold><\/jats:title><jats:p>The threat of mass casualties caused by an unconventional terrorist attack is a challenge for the public health system, with special implications for emergency medicine, anesthesia, and intensive care. Advanced life support of patients injured by chemical or biological warfare agents requires an adequate level of personal protection. The aim of this study was to evaluate the personal protection knowledge of emergency physicians and anesthetists who would be at the frontline of the initial health response to a chemical\/biological warfare agent incident.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00007457_sec02\" sec-type=\"methods\"><jats:title><jats:bold>Methods:<\/jats:bold><\/jats:title><jats:p>After institutional review board approval, knowledge of personal protection measures among emergency medicine (n = 28) and anesthetics (n = 47) specialty registrars in the South Thames Region of the United Kingdom was surveyed using a standardized questionnaire. Participants were asked for the recommended level of personal protection if a chemical\/biological warfare agent(s) casualty required advanced life support in the designated hospital resuscitation area.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00007457_sec03\" sec-type=\"results\"><jats:title><jats:bold>Results:<\/jats:bold><\/jats:title><jats:p>The best awareness within both groups was regarding severe acute respiratory syndrome, and fair knowledge was found regarding anthrax, plague, Ebola, and smallpox. In both groups, knowledge about personal protection requirements against chemical warfare agents was limited. Knowledge about personal protection measures for biological agents was acceptable, but was limited for chemical warfare agents.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00007457_sec04\" sec-type=\"conclusion\"><jats:title><jats:bold>Conclusions:<\/jats:bold><\/jats:title><jats:p>The results highlight the need to improve training and education regarding personal protection measures for medical first receivers.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x00007457","type":"journal-article","created":{"date-parts":[[2015,11,23]],"date-time":"2015-11-23T13:42:46Z","timestamp":1448286166000},"page":"525-528","source":"Crossref","is-referenced-by-count":4,"title":["Personal Protection during Resuscitation of Casualties Contaminated with Chemical or Biological Warfare Agents\u2014A Survey of Medical First Receivers"],"prefix":"10.1017","volume":"24","author":[{"given":"Andrea","family":"Brinker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Prior","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Schumacher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,6,28]]},"reference":[{"key":"S1049023X00007457_ref017","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2007.01.017"},{"key":"S1049023X00007457_ref014","first-page":"85","volume-title":"Occupational Safety and Health Guidance Manual for Hazardous Waste Site Activities","year":"1985"},{"key":"S1049023X00007457_ref007","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(96)70052-5"},{"key":"S1049023X00007457_ref001","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00005811"},{"key":"S1049023X00007457_ref010","unstructured":"10. Health Protection Agency. chemical, biological, radiological, or nuclear Incidents: A Guide to Clinical Management and Health Protection. Available at http:\/\/www.hpa.org.uk\/webw\/HPAweb&Page&HPAwebAutoListName\/Page\/1158934607980?p=1158934607980. Accessed 11 October 2008."},{"key":"S1049023X00007457_ref024","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197903223001210"},{"key":"S1049023X00007457_ref016","unstructured":"16. World Health Organization: Public health response to biological and chemical weapons. WHO guidance\u2014Annex 4. Principles of protection. Available at http:\/\/www.who.int\/csr\/delibepidemics\/biochemguide\/en\/ Accessed 11 October 2008."},{"key":"S1049023X00007457_ref003","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00002375"},{"key":"S1049023X00007457_ref018","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2008.05450.x"},{"key":"S1049023X00007457_ref005","first-page":"2497","volume-title":"Anesthesia","author":"Baker","year":"2004"},{"key":"S1049023X00007457_ref015","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra012670"},{"key":"S1049023X00007457_ref019","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00001709"},{"key":"S1049023X00007457_ref012","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00004908"},{"key":"S1049023X00007457_ref008","doi-asserted-by":"publisher","DOI":"10.1007\/BF01700667"},{"key":"S1049023X00007457_ref021","volume-title":"Biological and Chemical Terrorism. A Guide for Healthcare Providers and First Responders","author":"Weinstein","year":"2003"},{"key":"S1049023X00007457_ref002","doi-asserted-by":"publisher","DOI":"10.1097\/MEJ.0b013e3280bef902"},{"key":"S1049023X00007457_ref023","unstructured":"23. Press Release. Available at http:\/\/www.publications.parliament.uk. Accessed 11 October 2008."},{"key":"S1049023X00007457_ref011","volume-title":"Medical Management of Chemical Casualties Handbook","year":"2007"},{"key":"S1049023X00007457_ref004","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00003812"},{"key":"S1049023X00007457_ref013","doi-asserted-by":"publisher","DOI":"10.1002\/9780470060032.ch6"},{"key":"S1049023X00007457_ref020","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00005811"},{"key":"S1049023X00007457_ref009","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(95)92637-2"},{"key":"S1049023X00007457_ref006","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/S0140-6736(95)92170-2","article-title":"Sarin poisoning in Matsumoto, Japan","volume":"346","author":"Morita","year":"1995","journal-title":"Lancet"},{"key":"S1049023X00007457_ref022","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2003.03652.x"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X00007457","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T05:56:29Z","timestamp":1556603789000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X00007457\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,12]]},"references-count":24,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2009,12]]}},"alternative-id":["S1049023X00007457"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x00007457","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,12]]}}}